EP0910998A2 - Endoprothese mit mehrfacher Überbrückungsverbindungsstücken - Google Patents

Endoprothese mit mehrfacher Überbrückungsverbindungsstücken Download PDF

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Publication number
EP0910998A2
EP0910998A2 EP98308554A EP98308554A EP0910998A2 EP 0910998 A2 EP0910998 A2 EP 0910998A2 EP 98308554 A EP98308554 A EP 98308554A EP 98308554 A EP98308554 A EP 98308554A EP 0910998 A2 EP0910998 A2 EP 0910998A2
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EP
European Patent Office
Prior art keywords
endoprosthesis
helical
bridging
junctions
bridging junctions
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Granted
Application number
EP98308554A
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English (en)
French (fr)
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EP0910998A3 (de
EP0910998B1 (de
Inventor
Philip P. Corso, Jr.
Norman F. Williams, Jr.
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Cordis Corp
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Cordis Corp
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Publication of EP0910998A3 publication Critical patent/EP0910998A3/de
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/88—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure the wire-like elements formed as helical or spiral coils
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/91525—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other within the whole structure different bands showing different meander characteristics, e.g. frequency or amplitude
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/91533—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other characterised by the phase between adjacent bands
    • A61F2002/91541—Adjacent bands are arranged out of phase
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/82—Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/86—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure
    • A61F2/90—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure
    • A61F2/91—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes
    • A61F2/915—Stents in a form characterised by the wire-like elements; Stents in the form characterised by a net-like or mesh-like structure characterised by a net-like or mesh-like structure made from perforated sheets or tubes, e.g. perforated by laser cuts or etched holes with bands having a meander structure, adjacent bands being connected to each other
    • A61F2002/9155—Adjacent bands being connected to each other
    • A61F2002/91558—Adjacent bands being connected to each other connected peak to peak
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0013—Horseshoe-shaped, e.g. crescent-shaped, C-shaped, U-shaped

Definitions

  • the present invention generally relates to endoprostheses, also known as stents, and to their preparation and use. More particularly, the invention relates to endoprostheses having multiple junctions which join adjacent windings composed of undulating bendable segments which are oriented in a generally helical pattern along the length of the endoprosthesis.
  • the bendable segments impart radial expandability to the endoprosthesis, which can be tailored so as to vary the hoop strength of the endoprosthesis while still retaining the ability of the endoprosthesis to follow the contour of the vessel within which it is to be deployed.
  • Endoprostheses according to the invention also exhibit exceptional uniformity of expansion and maintain the desired solid surface area percentage substantially throughout the entirety of the endoprosthesis, particularly after deployment.
  • endoprosthesis devices or stents have been developed or proposed for use in association with angioplasty treatments and other medical treatments or procedures wherein devices having expandable components, such as balloon catheters, are used to treat a condition with a body vessel.
  • the endoprosthesis or stent is in the nature of a device, usually tubular or cylindrical in shape, which is deployed by a balloon or otherwise, such as self-expansion, and which remains within the vessel at a treatment location upon withdrawal of the balloon catheter or other deployment and/or treatment device.
  • Exemplary patents in this regard include Pinchuk U.S. Patents No. 5,019,090 and No. 5,092,877, MacGregor U.S. Patents No. 4,994,071 and No. 5,015,253, Hillstead U.S. Patents No. 4,856,516 and No. 4,913,141, and Gianturco U.S. Patents No. 4,580,568 and No. 4,800,882.
  • Certain endoprostheses or stents such as those illustrated in Dotter U.S. Patent No. 4,503,569, Wallsten U.S. Patent No. 4,655,771 and Palmaz U.S. Patent No. 4,733,665 present devices which have very limited compliance characteristics.
  • stenting curved vessel pathways with endoprostheses that present a generally rigid cylindrical shape typically requires endoprostheses that are very short in length and that are strung out along the curved pathway, with each such endoprosthesis engaging an adjacent endoprosthesis along respective edges of the endoprostheses, thereby leaving a gap between each pair of endoprostheses at the outside radius of the curved vessel being stented. Also, such endoprostheses often will be delivered separately, thereby increasing the invasiveness of the procedure.
  • Wiktor U.S. Patent No. 5,133,732 proposes longitudinal over-stretch limiting means such as by attaching a longitudinal wire generally parallel to the axis of the endoprosthesis.
  • a typical disadvantage of the more-compliant stent devices is that they tend to deform upon or after deployment and present stenting surfaces which can lack desirable uniformity throughout the working surface area of the stent. Development of non-uniformity in the working surface area of the stent can be especially evident during expansion of the stent from its collapsed, insertion diameter to its expanded, implanted diameter. At times, for balloon-deployed stents, this lack of uniformity upon expansion is exacerbated by folds or other non-uniformities in a balloon on which the stent is mounted for deployment.
  • the endoprostheses in accordance with the present invention exhibit the ability to follow the contour of the vessel being stented while still exhibiting the hoop strength needed for adequate support such as that provided by less compliant structures including those as discussed herein, while providing the additional advantage of ensuring uniform expansion to provide an expanded stent that exhibits the desired percentage of support surface area. Furthermore, with the present invention, these important properties can be tailored to fit the particular needs of the problem being addressed by varying compliance and hoop strength as needed.
  • the present invention achieves these advantages and advances the endoprosthesis art by an endoprosthesis constructed of a plurality of bendable segments organized in an undulating and substantially uniform fashion having a generally helical configuration.
  • the endoprosthesis body is thus composed of a plurality of full-circle undulating sections continuous with each other along the helical path.
  • the undulations of adjoining full circle sections generally line up with one another to either contact one another or be closely spaced from one another.
  • bridges are provided in order to thereby join adjacent sections.
  • At least one bridge is positioned along each full-circle section.
  • the bridges are oriented with respect to each other so as to form a helical pattern of bridges along the endoprosthesis.
  • Another object of the present invention is to provide an improved endoprosthesis or stent that exhibits good strength while having the ability to follow the contour of the vessel within which it is implanted.
  • Another object of this invention is to provide an improved endoprosthesis that minimizes the risk of developing intimal hyperplasia or irritation brought on by its deployment within a living vessel and the method associated therewith.
  • Another object of the present invention is to provide an improved endoprosthesis and deployment procedure whereby the stent overlaps by at least about 0.5 cm both sides of a dissection being treated, even in the case of an elongated dissection that does not exhibit a straight contour.
  • Another object of this invention is to provide an improved endoprosthesis and method to provide a stent which has an integrity comparable to that of a much less flexible stent while still exhibiting flexibility required in many uses, including within coronary vessels.
  • Another object of the present invention is to provide an endoprosthesis having multiple bridged junctions which exhibit a flexibility reduced by only about 10 to 15% of a similar device without bridged junctions and while simultaneously providing the integrity of stent structures exhibiting much less flexibility or compliance properties.
  • Another object of this invention is to provide an improved stent or endoprosthesis and use thereof with exceptional uniformity in presentation of supporting surface area throughout the working surface of the stent.
  • Another object of the present invention is to provide an improved endoprosthesis or stent which reduces in length when expanded during deployment, while increasing the pitch of the helix that broadly defines the configuration of the endoprosthesis.
  • Another object of the present invention is to provide an improved endoprosthesis or stent which, when deployed, avoids overlap of stent structural components to thereby provide a stent having minimal thickness throughout the stent to reduce the likelihood of accelerated hyperproliferation or thicker cell growth as a protection response to a thickened wall surface.
  • Another object of the present invention is to provide endoprostheses and manufacture thereof while tailoring same for desired end uses, including vascular, bronchial, tracheal, urological, rectal, transinterhepactic shunting, bilary tree, and the like.
  • Another object of this invention is to provide an improved endoprosthesis having multiple bridged junctions which substantially reduce external expansion of a stent when deployed within vessels having curved contours.
  • Fig. 1 depicts an endoprosthesis or stent in accordance with the present invention, generally designated as 21, positioned over a balloon component 22 of a catheter 23 of generally known construction.
  • the balloon is illustrated in a deflated condition, with the tube-like endoprosthesis closely lying thereover.
  • a suitable fluid such as saline solution
  • the balloon component 22 expands, thereby radially expanding the endoprosthesis 21.
  • this expansion is carried out within a body vessel, such as within a blood vessel, coronary passageway, bilary duct or other body vessel.
  • the expansion is initiated after the balloon and endoprosthesis are positioned within the vessel so as to be radially spaced away from a diseased or damaged area of the vessel.
  • the balloon Upon radial expansion as described, the balloon deploys the endoprosthesis to engage and support the diseased or damaged portion. It has been found that the effectiveness of this stenting procedure is particularly enhanced when the endoprosthesis traverses a length greater than the length of the diseased section so that there is an overlap of at least about 0.5 cm of endoprosthesis beyond each end of the diseased or damaged sections.
  • the deployment procedure according to the invention includes providing an endoprosthesis having a length greater than the length of the diseased area when the endoprosthesis is positioned along the diseased area, taking into consideration changes in contour of the vessel at the diseased section.
  • the illustrated embodiments begin as a tube of metal or polymer material, and patterned portions of same are removed to provide a tube-like member having strands and/or webs as shown.
  • the thus formed endoprostheses can be suitable for self-expansion or for deployment with a balloon catheter or the like.
  • the endoprosthesis has bendable segments to provide a repeating pattern of undulations.
  • the undulations are shaped into a plurality of full-circle sections 24 which extend through 360°.
  • Each section 24 includes a plurality of bendable segments 25.
  • Each bendable segment includes legs 26 joined by a connecting portion 27.
  • legs 26 and connecting portions 27 define a sinusoidal curve which can be shaped as illustrated in the drawings or take on somewhat different shapes.
  • a plurality of bridges, junctions or bridged junctions 28 integrally join adjacent pairs of connecting portions 27.
  • the components of the endoprosthesis are integrally formed from a length of tubing, typically of hypotubing size. Such is achieved by removing portions of the hypotubing in a designed pattern so as to leave the endoprosthesis strand and web components, including the bendable segments, legs and connecting portions for each full-circle section.
  • the removing can be by any suitable approach including chemical etching and/or cutting such as by laser cutting and removal.
  • At least one bridged junction 28 joins each full-circle section 24 to the section or sections adjacent thereto. While the helix orientation angle "A" of the sections as shown in Fig. 2 is relatively steep with respect to the longitudinal axis of the endoprosthesis 21, the pitch angle "B" of the plurality of bridges 28 is relatively shallow. It will be noted that pitch angle “B” follows the pitch angle defined by adjacent connecting portions 27 of adjacent sections 24. Accordingly, the pitch angle "B" of the illustrated helical bridge pattern follows the pitch angle of the helix that is defined by adjacent connecting portion pairs. As perhaps best illustrated in Fig. 4, this embodiment includes two such generally helical bridge patterns which generally parallel each other and which are longitudinally spaced from one another.
  • a particular size of such an endoprosthesis can have an unexpanded diameter of 8 mm and an unexpanded length of 3 cm. After a typical expansion to 12 mm, its length is about 2.7 cm, with the helix orientation angle and pitch angle being changed accordingly.
  • each of the bendable segments 25 has opened up to substantially the same extent, with each leg 26 being spaced farther from each of its adjoining legs than prior to expansion, this opened spacing being substantially uniform throughout each winding of the endoprosthesis.
  • Each bridged junction 28 remains along the helical pathway even after the endoprosthesis is expanded. This can be generally referred to as sinusoidal expansion which the invention achieves even with pleated balloons that can tend to cause non-sinusoidal expansion of other stents, wherein one leg of the bendable segment expands readily while its other leg movement is dampened.
  • Fig. 9 shows the uniform nature of the expanded supporting surface area.
  • endoprosthesis or stent 31 is composed of a plurality of full-circle sections 34 having a plurality of bendable segments 35 having legs 36 and a connecting portion 37.
  • bridged junctions 38 are aligned along three helical pathways which follow pitch angle "C" when unexpanded as illustrated in Fig. 5 and pitch angle "C'" as illustrated in Fig. 6.
  • one of the spines of a multiple-spine configuration can omit bridged junctions therealong, such that every other adjacent pair of connecting portions along this interrupted helical spine can remain unattached to each other.
  • alternating connecting portion adjacent pairs can remain unattached to each other, preferably staggered in such a manner that each adjacent section is joined together at its other adjacent section or sections by at least one bridge at a connecting portion pair.
  • helical spines in an orientation other than that as illustrated which follows the pitch angle of the helical orientation, for example bridge spine patterns which are generally parallel to the axis of the endoprosthesis and bridge spine patterns which follow a counter-clockwise oriented helix, rather than the clockwise oriented helical spine illustrated in the drawings.
  • bridge spine patterns which are generally parallel to the axis of the endoprosthesis and bridge spine patterns which follow a counter-clockwise oriented helix, rather than the clockwise oriented helical spine illustrated in the drawings.
  • the drawings illustrate endoprostheses having two or three in-line bridge spine patterns, patterns having a single spine and having four or more spines are also possible.
  • the supporting surface area (typically the "metal" outside or working surface of the stent) is to constitute between about 12% and about 15% of the cylindrical surface defined by the stent. Otherwise, inadequate support will be provided. This means that, under present beliefs, it is desirable to have between about 85% and about 88% open space presented by the external cylindrical definition of the stent.
  • the configuration of the stent of the invention is tailored to fall within these guidelines. More importantly, the present invention provides a structure wherein the amount of supportive surface area or "metal" presented to the vessel by the stent is a consistent percentage throughout the length and circumference of the stent.
  • Endoprostheses made in accordance with the present invention are also particularly well-suited for deployment within vessels having curved contours. It will be appreciated that the combination of unattached connecting portion pairs and bridged connecting portion pairs permit the endoprosthesis to lie within and follow a curve in a vessel without presenting excessive spacing between unattached connecting portion pairs, for example at an outside or larger radius curve. It has been found that, in similar stent structures without the pattern of bridged connections, the outside curve of the endoprosthesis will open about two times to three times the spacing between adjacent windings when unexpanded and longitudinal. The present invention dampens that expansion by at least approximately 60% to 70% while still permitting the endoprosthesis to follow the natural contour of the vessel. This results in a marked reduction in excess free space presented by the outside curve of the endoprosthesis. In addition, the pattern of bridged connections helps to prevent excessive overlap of endoprosthesis material at the inside curve of the vessel contour.
  • the material out of which the endoprostheses according to the invention are made typically will vary depending upon whether the stent is to be expanded or to be self-expanding.
  • the material should have malleability characteristics. Included are tantalum, stainless steel, titanium, silver, gold, annealed elastic metal materials, and alloys containing same.
  • Polymers may also be used, such as polyether sulfone, polyimides, polycarbonates, polypropylenes, high molecular weight polyethylenes, carbon fibers, Kevlar (trademark) polymer, and the like.
  • Self-expanding stents may be made from materials having spring-like resiliency, such a stent being formed from a tube having a diameter on the order of the deployed diameter, and this stent-configured tube is compressed circumferentially and placed in a deployment tool, often a cylinder-like device. Upon deployment in the body, the stent springs radially outwardly as it exits the deployment tool.
  • a preferred material for this self-expanding embodiment is a superelastic alloy. Typical in this regard are alloys having large percentages of nickel and titanium. Such alloys have austentic properties which do not effect a shape change during normal temperatures to which the stent is subjected during use. Materials suitable for this use have exceptional spring-back resiliency properties, and stents of the present structure made from such materials spring open once released from the deployment tool, typically so as to return to approximately the diameter of the initial tube from which the stent was formed.
  • the stent It is also possible to coat the stent with porous or textured surfaces for cellular ingrowth and the like or with non-thrombogenic agents such as pyrolytic carbon, heparin, hydrogels, Teflon (trademark) materials, silicones, polyurethanes and the like. Treatments can also be carried out so that drugs or medicines can be eluted therefrom. It is also possible that certain stents may be made of biodegradable materials. The stent material must, of course, be biocompatible.

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Physics & Mathematics (AREA)
  • Vascular Medicine (AREA)
  • Optics & Photonics (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
EP98308554A 1997-10-21 1998-10-20 Endoprothese mit mehrfacher Überbrückungsverbindungsstücken Expired - Lifetime EP0910998B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US955027 1997-10-21
US08/955,027 US5913897A (en) 1993-09-16 1997-10-21 Endoprosthesis having multiple bridging junctions and procedure

Publications (3)

Publication Number Publication Date
EP0910998A2 true EP0910998A2 (de) 1999-04-28
EP0910998A3 EP0910998A3 (de) 2000-01-05
EP0910998B1 EP0910998B1 (de) 2005-05-04

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EP98308554A Expired - Lifetime EP0910998B1 (de) 1997-10-21 1998-10-20 Endoprothese mit mehrfacher Überbrückungsverbindungsstücken

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EP (1) EP0910998B1 (de)
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Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000042946A1 (en) * 1999-01-22 2000-07-27 Al Saadon Khalid Expandable intravascular tubular stents
US6833004B2 (en) 2001-07-06 2004-12-21 Terumo Kabushiki Kaisha Stent
WO2006029619A1 (de) * 2004-09-17 2006-03-23 Optiray Medizintechnik Gmbh Stützprothese
US7329431B2 (en) 2003-06-05 2008-02-12 Terumo Kabushiki Kaisha Stent and method of manufacturing stent
CN102232884A (zh) * 2006-03-29 2011-11-09 帕拉贡知识产权有限责任公司 包括双稳态单元的防断裂螺旋支架
EP2138135A3 (de) * 1998-09-08 2014-05-07 Kabushikikaisha Igaki Iryo Sekkei Stent für Gefäß
US20200376172A1 (en) * 2017-08-30 2020-12-03 M.A. Med Alliance SA Metal alloy and medical device containing same

Families Citing this family (123)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7204848B1 (en) 1995-03-01 2007-04-17 Boston Scientific Scimed, Inc. Longitudinally flexible expandable stent
US7220275B2 (en) 1996-11-04 2007-05-22 Advanced Stent Technologies, Inc. Stent with protruding branch portion for bifurcated vessels
US6692483B2 (en) 1996-11-04 2004-02-17 Advanced Stent Technologies, Inc. Catheter with attached flexible side sheath
US7341598B2 (en) 1999-01-13 2008-03-11 Boston Scientific Scimed, Inc. Stent with protruding branch portion for bifurcated vessels
AU4896797A (en) 1996-11-04 1998-05-29 Davidson, Charles Extendible stent apparatus and method for deploying the same
US6599316B2 (en) 1996-11-04 2003-07-29 Advanced Stent Technologies, Inc. Extendible stent apparatus
US6682536B2 (en) 2000-03-22 2004-01-27 Advanced Stent Technologies, Inc. Guidewire introducer sheath
US6835203B1 (en) 1996-11-04 2004-12-28 Advanced Stent Technologies, Inc. Extendible stent apparatus
US6325826B1 (en) 1998-01-14 2001-12-04 Advanced Stent Technologies, Inc. Extendible stent apparatus
US8211167B2 (en) 1999-12-06 2012-07-03 Boston Scientific Scimed, Inc. Method of using a catheter with attached flexible side sheath
US7591846B2 (en) * 1996-11-04 2009-09-22 Boston Scientific Scimed, Inc. Methods for deploying stents in bifurcations
US7959664B2 (en) * 1996-12-26 2011-06-14 Medinol, Ltd. Flat process of drug coating for stents
US5906759A (en) * 1996-12-26 1999-05-25 Medinol Ltd. Stent forming apparatus with stent deforming blades
US5827321A (en) * 1997-02-07 1998-10-27 Cornerstone Devices, Inc. Non-Foreshortening intraluminal prosthesis
EP0884029B1 (de) * 1997-06-13 2004-12-22 Gary J. Becker Expandierbare intraluminale Endoprothese
US7329277B2 (en) * 1997-06-13 2008-02-12 Orbusneich Medical, Inc. Stent having helical elements
DE19746882A1 (de) * 1997-10-23 1999-04-29 Angiomed Ag Aufgeweiteter Stent und Verfahren zum Herstellen desselben
CA2322973C (en) * 1998-03-05 2011-04-12 Boston Scientific Limited Intraluminal stent
US6042597A (en) 1998-10-23 2000-03-28 Scimed Life Systems, Inc. Helical stent design
US8382821B2 (en) 1998-12-03 2013-02-26 Medinol Ltd. Helical hybrid stent
US20040267349A1 (en) 2003-06-27 2004-12-30 Kobi Richter Amorphous metal alloy medical devices
US7655030B2 (en) 2003-07-18 2010-02-02 Boston Scientific Scimed, Inc. Catheter balloon systems and methods
US6884258B2 (en) 1999-06-04 2005-04-26 Advanced Stent Technologies, Inc. Bifurcation lesion stent delivery using multiple guidewires
US6551351B2 (en) 1999-07-02 2003-04-22 Scimed Life Systems Spiral wound stent
US6689156B1 (en) 1999-09-23 2004-02-10 Advanced Stent Technologies, Inc. Stent range transducers and methods of use
WO2001028454A2 (en) * 1999-10-05 2001-04-26 Amjad Ahmad Intra vascular stent
DE19952295A1 (de) * 1999-10-29 2001-05-23 Angiomed Ag Verfahren zur Herstellung eines Stents
US6517573B1 (en) 2000-04-11 2003-02-11 Endovascular Technologies, Inc. Hook for attaching to a corporeal lumen and method of manufacturing
US20020049490A1 (en) 2000-04-11 2002-04-25 Pollock David T. Single-piece endoprosthesis with high expansion ratios
US6423091B1 (en) 2000-05-16 2002-07-23 Cordis Corporation Helical stent having flat ends
WO2001089421A2 (en) * 2000-05-22 2001-11-29 Orbus Medical Technologies Inc. Self-expanding stent
US6805704B1 (en) 2000-06-26 2004-10-19 C. R. Bard, Inc. Intraluminal stents
US6799637B2 (en) 2000-10-20 2004-10-05 Schlumberger Technology Corporation Expandable tubing and method
US6506211B1 (en) 2000-11-13 2003-01-14 Scimed Life Systems, Inc. Stent designs
EP1341482B2 (de) † 2000-12-11 2016-05-18 OrbusNeich Medical, Inc. Stent mit spiralen elementen
NO335594B1 (no) 2001-01-16 2015-01-12 Halliburton Energy Serv Inc Ekspanderbare anordninger og fremgangsmåte for disse
ATE319388T1 (de) * 2001-03-30 2006-03-15 Terumo Corp Stent
US20020143384A1 (en) * 2001-03-30 2002-10-03 Hitoshi Ozasa Stent cover and stent
US6602283B2 (en) 2001-04-06 2003-08-05 Scimed Life Systems, Inc. Stent design
US20050021123A1 (en) * 2001-04-30 2005-01-27 Jurgen Dorn Variable speed self-expanding stent delivery system and luer locking connector
US8617231B2 (en) 2001-05-18 2013-12-31 Boston Scientific Scimed, Inc. Dual guidewire exchange catheter system
ATE425720T1 (de) * 2002-01-28 2009-04-15 Orbusneich Medical Inc Aufgeweitete ostiumendoprothese und zufuhrsystem
ATE475244T1 (de) * 2002-04-02 2010-08-15 Verizon Business Global Llc Kommunikations-gateway mit nachrichtenkommunikationsschnittstelle
US6969402B2 (en) * 2002-07-26 2005-11-29 Syntheon, Llc Helical stent having flexible transition zone
US6878162B2 (en) * 2002-08-30 2005-04-12 Edwards Lifesciences Ag Helical stent having improved flexibility and expandability
US9561123B2 (en) 2002-08-30 2017-02-07 C.R. Bard, Inc. Highly flexible stent and method of manufacture
US7264633B2 (en) * 2003-03-20 2007-09-04 Cordis Corp. Anvil bridge stent design
US7131993B2 (en) * 2003-06-25 2006-11-07 Boston Scientific Scimed, Inc. Varying circumferential spanned connectors in a stent
US9039755B2 (en) * 2003-06-27 2015-05-26 Medinol Ltd. Helical hybrid stent
US9155639B2 (en) 2009-04-22 2015-10-13 Medinol Ltd. Helical hybrid stent
US8298280B2 (en) 2003-08-21 2012-10-30 Boston Scientific Scimed, Inc. Stent with protruding branch portion for bifurcated vessels
US7344557B2 (en) 2003-11-12 2008-03-18 Advanced Stent Technologies, Inc. Catheter balloon systems and methods
US7265317B2 (en) * 2004-01-28 2007-09-04 Boston Scientific Scimed, Inc. Method of cutting material with hybrid liquid-jet/laser system
US20050182474A1 (en) * 2004-02-13 2005-08-18 Medtronic Vascular, Inc. Coated stent having protruding crowns and elongated struts
US20050273151A1 (en) * 2004-06-04 2005-12-08 John Fulkerson Stent delivery system
US20060064155A1 (en) * 2004-09-01 2006-03-23 Pst, Llc Stent and method for manufacturing the stent
US7763067B2 (en) 2004-09-01 2010-07-27 C. R. Bard, Inc. Stent and method for manufacturing the stent
CN102309370B (zh) 2005-04-04 2015-04-15 灵活支架解决方案股份有限公司 可挠支架
US20060248698A1 (en) * 2005-05-05 2006-11-09 Hanson Brian J Tubular stent and methods of making the same
DE602006012687D1 (de) * 2005-08-17 2010-04-15 Bard Inc C R Stentabgabesystem mit variabler geschwindigkeit
US20070250148A1 (en) * 2005-09-26 2007-10-25 Perry Kenneth E Jr Systems, apparatus and methods related to helical, non-helical or removable stents with rectilinear ends
WO2007040250A1 (ja) * 2005-10-05 2007-04-12 Kaneka Corporation 生体留置用ステント
US11026822B2 (en) 2006-01-13 2021-06-08 C. R. Bard, Inc. Stent delivery system
CA2936205C (en) 2006-01-13 2018-08-21 C.R. Bard, Inc. Stent delivery system
USD553747S1 (en) * 2006-01-25 2007-10-23 Cornova, Inc. Stent device
MX2008009866A (es) * 2006-02-14 2008-10-14 Angiomed Ag Stent altamente flexible y metodo para fabricacion.
US8821561B2 (en) 2006-02-22 2014-09-02 Boston Scientific Scimed, Inc. Marker arrangement for bifurcation catheter
US8828077B2 (en) 2006-03-15 2014-09-09 Medinol Ltd. Flat process of preparing drug eluting stents
US7955383B2 (en) * 2006-04-25 2011-06-07 Medtronics Vascular, Inc. Laminated implantable medical device having a metallic coating
US7691400B2 (en) * 2006-05-05 2010-04-06 Medtronic Vascular, Inc. Medical device having coating with zeolite drug reservoirs
US7717892B2 (en) 2006-07-10 2010-05-18 Mcneil-Ppc, Inc. Method of treating urinary incontinence
US8613698B2 (en) 2006-07-10 2013-12-24 Mcneil-Ppc, Inc. Resilient device
CN104257450B (zh) 2006-07-10 2017-05-10 第一次质量卫生公司 弹性装置
US10004584B2 (en) 2006-07-10 2018-06-26 First Quality Hygienic, Inc. Resilient intravaginal device
US10219884B2 (en) 2006-07-10 2019-03-05 First Quality Hygienic, Inc. Resilient device
GB0615658D0 (en) 2006-08-07 2006-09-13 Angiomed Ag Hand-held actuator device
US7988720B2 (en) 2006-09-12 2011-08-02 Boston Scientific Scimed, Inc. Longitudinally flexible expandable stent
EP4005537A1 (de) * 2007-02-12 2022-06-01 C.R. Bard Inc. Hochflexibler stent und verfahren zur herstellung
US8333799B2 (en) 2007-02-12 2012-12-18 C. R. Bard, Inc. Highly flexible stent and method of manufacture
US20080206441A1 (en) * 2007-02-27 2008-08-28 Medtronic Vascular, Inc. Ion Beam Etching a Surface of an Implantable Medical Device
US8623070B2 (en) 2007-03-08 2014-01-07 Thomas O. Bales Tapered helical stent and method for manufacturing the stent
US9265636B2 (en) * 2007-05-25 2016-02-23 C. R. Bard, Inc. Twisted stent
GB0713497D0 (en) 2007-07-11 2007-08-22 Angiomed Ag Device for catheter sheath retraction
US8486134B2 (en) 2007-08-01 2013-07-16 Boston Scientific Scimed, Inc. Bifurcation treatment system and methods
US7988723B2 (en) 2007-08-02 2011-08-02 Flexible Stenting Solutions, Inc. Flexible stent
US8936567B2 (en) 2007-11-14 2015-01-20 Boston Scientific Scimed, Inc. Balloon bifurcated lumen treatment
US8574284B2 (en) * 2007-12-26 2013-11-05 Cook Medical Technologies Llc Low profile non-symmetrical bare alignment stents with graft
GB2475494B (en) 2009-11-18 2011-11-23 Cook William Europ Stent graft and introducer assembly
GB2476451A (en) * 2009-11-19 2011-06-29 Cook William Europ Stent Graft
US8992593B2 (en) * 2007-12-26 2015-03-31 Cook Medical Technologies Llc Apparatus and methods for deployment of a modular stent-graft system
US9226813B2 (en) * 2007-12-26 2016-01-05 Cook Medical Technologies Llc Low profile non-symmetrical stent
US8728145B2 (en) 2008-12-11 2014-05-20 Cook Medical Technologies Llc Low profile non-symmetrical stents and stent-grafts
US9180030B2 (en) 2007-12-26 2015-11-10 Cook Medical Technologies Llc Low profile non-symmetrical stent
US8747456B2 (en) 2007-12-31 2014-06-10 Boston Scientific Scimed, Inc. Bifurcation stent delivery system and methods
US8377108B2 (en) 2008-06-02 2013-02-19 Boston Scientific Scimed, Inc. Staggered two balloon bifurcation catheter assembly and methods
WO2009149410A1 (en) 2008-06-05 2009-12-10 Boston Scientific Scimed, Inc. Deflatable bifurcated device
US9149376B2 (en) 2008-10-06 2015-10-06 Cordis Corporation Reconstrainable stent delivery system
US9168161B2 (en) 2009-02-02 2015-10-27 Cordis Corporation Flexible stent design
KR101314224B1 (ko) * 2009-04-24 2013-10-04 플렉서블 스텐딩 솔루션즈 인크 플렉서블 장치
US20110067471A1 (en) * 2009-09-18 2011-03-24 Medtronic Vascular, Inc. Method and Apparatus for Creating Formed Elements Used to Make Wound Stents
US9757263B2 (en) * 2009-11-18 2017-09-12 Cook Medical Technologies Llc Stent graft and introducer assembly
US20110218615A1 (en) * 2010-03-02 2011-09-08 Medtronic Vascular, Inc. Stent With Multi-Crown Constraint and Method for Ending Helical Wound Stents
US8206434B2 (en) 2010-03-02 2012-06-26 Medtronic Vascular, Inc. Stent with sinusoidal wave form and orthogonal end and method for making same
US8328072B2 (en) 2010-07-19 2012-12-11 Medtronic Vascular, Inc. Method for forming a wave form used to make wound stents
US8961590B2 (en) 2010-08-02 2015-02-24 Cordis Corporation Flexible helical stent having different helical regions
MX2013001443A (es) 2010-08-02 2013-03-12 Cordis Corp Stent helicoidal flexible con region no helicoidal intermedia.
MX2013001441A (es) 2010-08-02 2013-03-12 Cordis Corp Stent helicoidal flexible con caracteristica estructural intermedia.
KR20130138189A (ko) 2010-08-02 2013-12-18 코디스 코포레이션 돌출 힌지들을 갖는 가요성 스텐트
GB201017834D0 (en) 2010-10-21 2010-12-01 Angiomed Ag System to deliver a bodily implant
CN103607977B (zh) * 2011-06-07 2017-05-03 刘青 非激光切割加工方法制备混合型高分子支架
US9296034B2 (en) 2011-07-26 2016-03-29 Medtronic Vascular, Inc. Apparatus and method for forming a wave form for a stent from a wire
CN103906484B (zh) * 2011-11-02 2016-05-25 尼普洛株式会社 支架
US9242290B2 (en) 2012-04-03 2016-01-26 Medtronic Vascular, Inc. Method and apparatus for creating formed elements used to make wound stents
US9238260B2 (en) 2012-04-18 2016-01-19 Medtronic Vascular, Inc. Method and apparatus for creating formed elements used to make wound stents
US9364351B2 (en) 2012-04-23 2016-06-14 Medtronic Vascular, Inc. Method for forming a stent
EP4173599A1 (de) 2012-05-14 2023-05-03 C. R. Bard, Inc. Gleichmässig expandierbarer stent
JP2015532188A (ja) * 2012-10-26 2015-11-09 チョーチアン ジロックス メディカル デバイス カンパニー リミテッドＺｈｅｊｉａｎｇ Ｚｙｌｏｘ Ｍｅｄｉｃａｌ Ｄｅｖｉｃｅ Ｃｏ．，Ｌｔｄ． 自己拡張型ステント
USD723165S1 (en) 2013-03-12 2015-02-24 C. R. Bard, Inc. Stent
KR101501935B1 (ko) 2013-07-26 2015-03-16 인하대학교 산학협력단 높은 내구성을 가지는 스텐트
WO2016104128A1 (ja) * 2014-12-26 2016-06-30 テルモ株式会社 ステント
KR101593223B1 (ko) * 2015-05-15 2016-02-12 (주)시지바이오 하이브리드 스텐트
US10575973B2 (en) 2018-04-11 2020-03-03 Abbott Cardiovascular Systems Inc. Intravascular stent having high fatigue performance
US12478488B2 (en) 2020-02-19 2025-11-25 Medinol Ltd. Helical stent with enhanced crimping

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4856516A (en) 1989-01-09 1989-08-15 Cordis Corporation Endovascular stent apparatus and method
US4913141A (en) 1988-10-25 1990-04-03 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US4994071A (en) 1989-05-22 1991-02-19 Cordis Corporation Bifurcating stent apparatus and method
US5015253A (en) 1989-06-15 1991-05-14 Cordis Corporation Non-woven endoprosthesis
US5019090A (en) 1988-09-01 1991-05-28 Corvita Corporation Radially expandable endoprosthesis and the like
US5092877A (en) 1988-09-01 1992-03-03 Corvita Corporation Radially expandable endoprosthesis

Family Cites Families (39)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA1204643A (en) * 1981-09-16 1986-05-20 Hans I. Wallsten Device for application in blood vessels or other difficulty accessible locations and its use
SE445884B (sv) * 1982-04-30 1986-07-28 Medinvent Sa Anordning for implantation av en rorformig protes
US4503569A (en) * 1983-03-03 1985-03-12 Dotter Charles T Transluminally placed expandable graft prosthesis
US4580568A (en) * 1984-10-01 1986-04-08 Cook, Incorporated Percutaneous endovascular stent and method for insertion thereof
US4733665C2 (en) * 1985-11-07 2002-01-29 Expandable Grafts Partnership Expandable intraluminal graft and method and apparatus for implanting an expandable intraluminal graft
DE3640745A1 (de) * 1985-11-30 1987-06-04 Ernst Peter Prof Dr M Strecker Katheter zum herstellen oder erweitern von verbindungen zu oder zwischen koerperhohlraeumen
US4649922A (en) * 1986-01-23 1987-03-17 Wiktor Donimik M Catheter arrangement having a variable diameter tip and spring prosthesis
US4800882A (en) * 1987-03-13 1989-01-31 Cook Incorporated Endovascular stent and delivery system
US5041126A (en) * 1987-03-13 1991-08-20 Cook Incorporated Endovascular stent and delivery system
JPS63238872A (ja) * 1987-03-25 1988-10-04 テルモ株式会社 管状器官内腔の内径確保用器具
US4969458A (en) * 1987-07-06 1990-11-13 Medtronic, Inc. Intracoronary stent and method of simultaneous angioplasty and stent implant
US5133732A (en) * 1987-10-19 1992-07-28 Medtronic, Inc. Intravascular stent
US4886062A (en) * 1987-10-19 1989-12-12 Medtronic, Inc. Intravascular radially expandable stent and method of implant
US4830003A (en) * 1988-06-17 1989-05-16 Wolff Rodney G Compressive stent and delivery system
SE8803444D0 (sv) * 1988-09-28 1988-09-28 Medinvent Sa A device for transluminal implantation or extraction
US4994066A (en) * 1988-10-07 1991-02-19 Voss Gene A Prostatic stent
US5019085A (en) * 1988-10-25 1991-05-28 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US5035706A (en) * 1989-10-17 1991-07-30 Cook Incorporated Percutaneous stent and method for retrieval thereof
US5161547A (en) * 1990-11-28 1992-11-10 Numed, Inc. Method of forming an intravascular radially expandable stent
US5135536A (en) * 1991-02-05 1992-08-04 Cordis Corporation Endovascular stent and method
US5304200A (en) * 1991-05-29 1994-04-19 Cordis Corporation Welded radially expandable endoprosthesis and the like
US5314472A (en) * 1991-10-01 1994-05-24 Cook Incorporated Vascular stent
JP3117242B2 (ja) * 1991-08-07 2000-12-11 オリンパス光学工業株式会社 生体管路拡張具
US5443498A (en) * 1991-10-01 1995-08-22 Cook Incorporated Vascular stent and method of making and implanting a vacsular stent
US5354309A (en) * 1991-10-11 1994-10-11 Angiomed Ag Apparatus for widening a stenosis in a body cavity
CA2079417C (en) * 1991-10-28 2003-01-07 Lilip Lau Expandable stents and method of making same
US5405377A (en) * 1992-02-21 1995-04-11 Endotech Ltd. Intraluminal stent
DE69318614T2 (de) * 1992-03-25 1998-11-05 Cook Inc Einrichtung zur Aufweitung von Blutgefässen
US5370683A (en) * 1992-03-25 1994-12-06 Cook Incorporated Vascular stent
BE1006440A3 (fr) * 1992-12-21 1994-08-30 Dereume Jean Pierre Georges Em Endoprothese luminale et son procede de preparation.
DE4303181A1 (de) * 1993-02-04 1994-08-11 Angiomed Ag Implantierbarer Katheter
GB2281865B (en) * 1993-09-16 1997-07-30 Cordis Corp Endoprosthesis having multiple laser welded junctions,method and procedure
US5601539A (en) * 1993-11-03 1997-02-11 Cordis Corporation Microbore catheter having kink-resistant metallic tubing
US5549663A (en) * 1994-03-09 1996-08-27 Cordis Corporation Endoprosthesis having graft member and exposed welded end junctions, method and procedure
DE4418336A1 (de) * 1994-05-26 1995-11-30 Angiomed Ag Stent
DE69518435T3 (de) * 1994-06-08 2004-07-22 CardioVascular Concepts, Inc., Portola Valley System zur Herstellung eines abzweigenden Transplantats
US5702418A (en) * 1995-09-12 1997-12-30 Boston Scientific Corporation Stent delivery system
US5843117A (en) * 1996-02-14 1998-12-01 Inflow Dynamics Inc. Implantable vascular and endoluminal stents and process of fabricating the same
WO1997032544A1 (en) * 1996-03-05 1997-09-12 Divysio Solutions Ulc. Expandable stent and method for delivery of same

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5019090A (en) 1988-09-01 1991-05-28 Corvita Corporation Radially expandable endoprosthesis and the like
US5092877A (en) 1988-09-01 1992-03-03 Corvita Corporation Radially expandable endoprosthesis
US4913141A (en) 1988-10-25 1990-04-03 Cordis Corporation Apparatus and method for placement of a stent within a subject vessel
US4856516A (en) 1989-01-09 1989-08-15 Cordis Corporation Endovascular stent apparatus and method
US4994071A (en) 1989-05-22 1991-02-19 Cordis Corporation Bifurcating stent apparatus and method
US5015253A (en) 1989-06-15 1991-05-14 Cordis Corporation Non-woven endoprosthesis

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2138135A3 (de) * 1998-09-08 2014-05-07 Kabushikikaisha Igaki Iryo Sekkei Stent für Gefäß
WO2000042946A1 (en) * 1999-01-22 2000-07-27 Al Saadon Khalid Expandable intravascular tubular stents
US6833004B2 (en) 2001-07-06 2004-12-21 Terumo Kabushiki Kaisha Stent
US7329431B2 (en) 2003-06-05 2008-02-12 Terumo Kabushiki Kaisha Stent and method of manufacturing stent
WO2006029619A1 (de) * 2004-09-17 2006-03-23 Optiray Medizintechnik Gmbh Stützprothese
DE102004045226B4 (de) * 2004-09-17 2008-01-17 Optiray Medizintechnik Gmbh Stützprothese
US8628563B2 (en) 2004-09-17 2014-01-14 Thilo Fliedner Support prosthesis
CN102232884A (zh) * 2006-03-29 2011-11-09 帕拉贡知识产权有限责任公司 包括双稳态单元的防断裂螺旋支架
CN102232884B (zh) * 2006-03-29 2015-04-08 西洛诺瓦斯坦股份有限公司 包括双稳态单元的防断裂螺旋支架
US20200376172A1 (en) * 2017-08-30 2020-12-03 M.A. Med Alliance SA Metal alloy and medical device containing same
US12070533B2 (en) * 2017-08-30 2024-08-27 Tam Christine Thompson-Steckel Metal alloy and medical device containing same

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EP0910998A3 (de) 2000-01-05
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CA2250614C (en) 2004-03-23
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DE69830033T2 (de) 2006-02-23
AU739109B2 (en) 2001-10-04
JPH11221288A (ja) 1999-08-17
US5913897A (en) 1999-06-22
EP0910998B1 (de) 2005-05-04

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